Abstract
Background Various approaches have been developed to treat the progressive shoulder deformity
in patients with brachial plexus birth palsy. Reconstructive surgery for this condition
consists of complex procedures with a risk for failure.
Case presentations This is a retrospective case review of the outcome in eight cases referred to us
for reoperation for failed shoulder reconstructions. In each case, we describe the
initial attempt(s) at surgical correction, the underlying causes of failure, and the
procedures performed to rectify the problem. Results were assessed using pre- and
post-operative Mallet shoulder scores. All eight patients realized improvement in
shoulder function from reoperation.
Conclusions This case review identifies several aspects of reconstructive shoulder surgery for
brachial plexus birth injury that may cause failure of the index procedure(s) and
outlines critical steps in the evaluation and execution of shoulder reconstruction.
Keywords
Brachial plexus birth palsy - Reoperation - Revision surgery - Reconstruction
